Worksheetspaediatric vision
Total questions: 30
Worksheet time: 30mins
An infant born at 30 weeks gestation develops a zone II, stage 3 ROP with plus disease. What is the appropriate treatment?
Observation
Cryotherapy
Intravitreal bevacizumab
Laser photocoagulation
At what age does the OKN response become symmetric?
Birth
3 months
6 months
1 year
Which visual acuity test is most appropriate for a non-verbal 18-month-old?
Snellen Chart
Sheridan-Gardiner Test
Cardiff Cards
ETDRS chart
An 8-year-old has visual acuity of 6/6 OD and 6/60 OS. No strabismus or ocular pathology. Cycloplegic refraction: +0.50 OD, +4.00 OS. Diagnosis?
Isometropic amblyopia
Anisometropic amblyopia
Functional amblyopia
Deprivation amblyopia
Which test is most sensitive in detecting small-angle strabismus in children?
Cover-uncover test
Alternate cover test
Hirschberg test
Worth four-dot test
For maximum effectiveness, occlusion therapy in severe amblyopia (VA worse than 6/36) is recommended for:
2 hours/day
4 hours/day
6 hours or more/day
Only weekend patching
A 6-year-old has poor school performance, normal ocular health, and fluctuating attention. Suspect:
Amblyopia
Cortical visual impairment (CVI)
Convergence insufficiency
Asthenopia
In a child with cerebral palsy, which visual dysfunction is most commonly associated?
Cataract
Retinal detachment
Cortical visual impairment
Esotropia
Teller acuity cards assess visual acuity using:
Picture recognition
Preferential looking
Fixation disparity
Matching symbols
A 7-year-old has a constant right hypertropia worse in left gaze and right head tilt. Most likely diagnosis:
Superior oblique overaction
Right superior oblique palsy
Inferior rectus underaction
Brown syndrome
A child with esotropia present only at near and a high AC/A ratio should be managed with:
Bifocals
Plus add lenses for near
Occlusion therapy
Prisms
A 3-year-old with light sensitivity, nystagmus, and iris transillumination defects likely has:
Cone dystrophy
Oculocutaneous albinism
Achromatopsia
Aniridia
The most common ocular manifestation of shaken baby syndrome is:
Hyphema
Retinal hemorrhages
Cataract
Optic disc coloboma
In pediatric patients, atropine penalization is primarily used in:
Unilateral myopia
Amblyopia therapy
Post-RK vision rehab
Glaucoma
A child with bilateral ptosis, poor Bell's phenomenon, and lagophthalmos may have:
Marcus Gunn jaw-winking
Congenital myasthenic syndrome
Horner syndrome
Blepharophimosis
The ideal method to detect early retinal pathology in preverbal children is:
Fundus photography
Electroretinography (ERG)
OCT
Fluorescein angiography
A newborn with corneal clouding, high IOP, and buphthalmos should be evaluated for:
Retinoblastoma
Leukocoria
Primary congenital glaucoma
ROP
What is the most appropriate initial test to assess visual function in a blind-appearing infant with normal eyes?
Funduscopy
Visual Evoked Potential (VEP)
ERG
OCT
A 6-year-old presents with progressive loss of central vision, and fundus reveals pisciform flecks. Diagnosis?
Cone dystrophy
Stargardt disease
Leber’s hereditary optic neuropathy
Juvenile X-linked retinoschisis
The most effective method to test visual fields in a cooperative 6-year-old is:
Confrontation fields
Kinetic perimetry (Goldmann)
Automated 30-2
Amsler grid
A 4-year-old with prior history of oxygen therapy in NICU presents with dragged macula and peripheral scarring. Diagnosis?
Familial exudative vitreoretinopathy
Retinopathy of prematurity
Incontinentia pigmenti
Coats disease
A child with advanced retinitis pigmentosa is most likely to benefit from:
LASIK
Atropine therapy
Orientation and mobility training
Contact lenses
A child has microphthalmia, cataract, and hearing loss. Which congenital infection is most likely?
Herpes simplex
Toxoplasmosis
Rubella
Cytomegalovirus
In infants with delayed visual maturation (DVM), the most appropriate management is:
Immediate patching
Corrective lenses
Observation and follow-up until ~6 months
Start steroids
A 3-month-old infant is not fixating or following. Fundus, VEP, and ERG are all normal. Likely diagnosis:
Leber’s congenital amaurosis
Delayed visual maturation
Achromatopsia
Bilateral optic atrophy
Which systemic feature most strongly correlates with bilateral congenital cataracts?
Congenital heart disease
Metabolic disorders (e.g., galactosemia)
Neuroblastoma
Osteogenesis imperfecta
The DEM test primarily evaluates which of the following visual functions?
Accommodation
Visual acuity
Visual field
Oculomotor skills and visual-verbal integration
A child performs well on vertical subtests but poorly on the horizontal subtest with a high ratio. This pattern most likely indicates:
Visual acuity deficiency
Oculomotor dysfunction (Type II)
Visual neglect
Convergence insufficiency
The DEM test is most appropriate for children aged:
2–4 years
4–6 years
6–13 years
13–18 years
In the DEM test, the "ratio" is calculated by dividing:
Vertical time / Horizontal time
Horizontal time / Vertical time
Number of errors / Vertical time
Test A score / Test B score
